- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete reimbursement to the health ... timely manner. + Prepares trend and other reports for compliance audits and charge processes. + Serves as a...reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. +… more
- Rising Medical Solutions (Milwaukee, WI)
- …+ Being the best, not the biggest The Role: The Specialty Medical Bill Auditor will maximize savings for clients by accurately analyzing and processing medical bills ... law, fee schedules, usual and customary rates (UCR), current PPO contracts, coding and bundling guidelines, client instructions, claim history, and company policies… more
- Dartmouth Health (Lebanon, NH)
- …systems and processes supporting operational and compliance objectives. Performs complex professional and facility (DRG or APC) coding and billing audits ... issues and/or professional or facility chart abstraction, CPT and ICD-9 coding and clinical documentation education required. * An understanding of health care… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …of Job Responsible for performing compliance reviews of billing and coding compliance functions and activities, compliance risk assessments, developing ... Performs monitoring and compliance reviews of medical billing and coding compliance activities, associated risk assessments, developing policies and… more
- Texas Health Resources (Arlington, TX)
- Manager Compliance Coding _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like ... Resources + Core work hours: Monday - Friday; 8:00a-5:00p; Position Summary The Coding Compliance Manager oversees and manages auditing and monitoring activities… more
- Rush University Medical Center (Chicago, IL)
- …skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * Experience working ... a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of...reviews of EMR documentation of patient encounters to ensure coding accuracy and documentation adequacy. The professional … more
- Houston Methodist (Houston, TX)
- …inpatient/outpatient coding : MS-DRG, APR DRG and APC assignment systems + Official coding guidelines and coding compliance + Working knowledge of medical ... programs for new hires and current staff to enhance coding skills as well as to ensure compliance...-- (CBO Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders… more
- St. Luke's University Health Network (Allentown, PA)
- …Administrator (RHIA); Certified Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth ... also review and validate coded medical records of the Professional Coding (PC) staff to determine data...system, and identify areas of opportunity or assess potential compliance risks. + Assists with training and onboarding of… more
- UNC Health Care (Chapel Hill, NC)
- …Seeks out and analyzes opportunities to improve and enhance professional compliance in areas such as coding , clinical documentation, charge capture, and ... requirements. Must be able to understand, demonstrate, and teach professional compliance , billing and coding ...advanced ability to listen carefully and follow directions. The Auditor should ask for clarification and seek guidance when… more
- University of Rochester (Rochester, NY)
- … coding experience** required, to include: **APG** , **APC** , and/or **DRG** coding methodologies or professional coding and billing in specialty areas. ... pathways for the Compliance Analyst II (1: Compliance Billing, Coding , and Education Analyst,** **or**...(CCEP), + Certified Fraud Examiner (CFE), + Certified Internal Auditor (CIA), + Or equivalent professional certification… more